tag:blogger.com,1999:blog-1562387750337311798Tue, 28 Jul 2015 05:00:00 +0000commercial biasACCMEEli LillyNemeroffWyeth PharmaceuticalsAstra ZenecaMassachusetts gift banMedscapeSeroquelindustry-funded CMEAmerican Psychiatric AssociationBristol-Myers SquibbGrassleyConflicts of InterestAbilifyAlan SchatzbergCurrent PsychiatryDSM-VEmory UniversityFDAADHDCEJACMEDesignWriteFugh-BermanGoodwinJAMANew York TimesPfizerPhysician Payments Sunshine ActProPublicaghostwritingprescription data-miningAMAAPACNS SpectrumsEffexorGlaxoSmithKlineJoseph BiedermanJournal of Clinical PsychiatryMassachusetts General HospitalPhysician paymentsShireThe Infinite Mindhired guni3 CMEindustry-free CMEACREAmerican Medical AssociationBoston GlobeBritish Medical JournalBusinessWeekCymbaltaMedical Meetings MagazineNew York Times MagazineOregonPharmaceutical marketingPristiqPsychiatric TimesSolvayStephen StahlUniversity of Wisconsinantipsychoticsdrug repsgift banpromotional speakerspsychologistsAPA 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SocietiesMeghna ChakrabartiMelody PetersonMental Health AmericanMerckMichael FirstMina DulcanMinh UongMother JonesMukherjeeNEBANancy RappaportNatasha SingerNesiNeuroinvestmentNeuroscience education insttituteNew York State AssemblyNew YorkerNiravamNissenNotes from RWNovartisNuvigilOff-label promotionOn PointOpen PaymentsOranskyOregon Academy of Family PhysiciansOrexigenPRMSPV UpdatesPain TVParryPatent ExtendersPatient PrimingPaul SimonPaul ThackerPewPhRMA codePhysiPhysician disclosurePiesPlacebo Journal BlogPoison PillsPrescription projectPri-MedPrimedia HealthcareProduct theatersProfessional Medical AssociationsPsynomicsQuantiaMDRadio BostonRajnish MagoReed ElsevierRelmanRemissionReporting on HealthRidge DiagnosticsRobert DeLeoRobert FreedmanRoyal College of PhysiciansRozeremSPECTSchwarz PharmaSchwitzerSenate Finance CommitteeSentinelSourceSepracorShahram AhariSharfsteinSilenorSimple and Practical Mental HealthSmithKline BeechamSomaxonSpencerSpielmansStandards for Commercial SupportSternthalSteven StahlStosselStratteraSymbyaxTakedaTamar HosanskyThackerThe Carlat Addiction Treatment ReportThe Carlat Medical ReportThomas SullivanThought BroadcastTim KukloTom AshbrookTom SullivanTuftsUnbranded DoctorUniversity DiariesUniversity of MichiganUniversity of North Texas Health Science CenterVerispanVermont Psychiatric AssociationViibrydVioxxViraceptVox MedicaVyvanseWall Street Journal Health BlogWashington PostWebMDWhitakerWilensWilliam CarpenterWired magazineWisconsin Medical SocietyWoodZimmermanbipolar depressionbipolar disorderbook reviewchild psychiatrycontinuing medical educationdirty thirtydisclosuredrug companiesfibromyalgiafree speechgenericsgeneticsgreedhospitalityiPhonekey opinion leaderslegal consultationmajor depressive disorderneuroscienceCMEpharma marketing blogpharmacogeneticspodcastpractice guidelines committeepremarinprescriptive privilegespsychosissanofi aventisseeding trialssuper PACstestosteronevilazodonevortioxetineThe Carlat Psychiatry BlogKeeping Psychiatry Honest Since 2007http://carlatpsychiatry.blogspot.com/noreply@blogger.com (Daniel Carlat, M.D.)Blogger358125tag:blogger.com,1999:blog-1562387750337311798.post-5414147412858893888Wed, 01 Jul 2015 18:20:00 +00002015-07-01T17:28:27.382-04:00ACCMECMEgift banhospitalityPharmaceutical marketingHospitality and Pharma: Relationship on the Rocks?Decades of mutually beneficial economic ties have bound the fortunes of hotels, restaurants, and drug companies. But in an era of Sunshine Act disclosure, renewed calls for professional ethics, and ballooning healthcare costs, that relationship may be souring.
It used to be a veritable love-fest. As recently as 2011, I was writing about a restaurant's attempt to rebrand itself as a "http://carlatpsychiatry.blogspot.com/2015/07/hospitality-and-pharma-relationship-on.htmlnoreply@blogger.com (Admin)1tag:blogger.com,1999:blog-1562387750337311798.post-1943165486216554484Fri, 26 Jun 2015 21:52:00 +00002015-06-26T17:52:11.398-04:00Hotel Workers Against Industry-Funded CME?
In a fascinating new chapter in the battle over industry funding of CME, a huge hotel workers' union has started a campaign to end the practice. Unite Here represents 270,000 workers, and the organization claims that industry funding of CME drives up their health care costs, which is undoubtedly true. So they have created a website, No More Drug Money, to advocate their cause, and they are http://carlatpsychiatry.blogspot.com/2015/06/hotel-workers-against-industry-funded.htmlnoreply@blogger.com (Daniel Carlat, M.D.)1tag:blogger.com,1999:blog-1562387750337311798.post-2268615704792416485Sun, 17 May 2015 13:07:00 +00002015-05-17T09:09:57.060-04:00AssurexGeneSightpharmacogeneticsThe GeneSight Test: A Wing, a Prayer and 13 Patients
We just published the May issue of The Carlat Psychiatry Report, and the topic is "Biomarkers in Psychiatry."
I contributed an article reviewing the evidence for the GeneSight genetic test, which is being quite heavily marketed as a way to choose the right medications for patients. According to company's website:
"Multiple clinical studies have shown that when clinicians used GeneSight to http://carlatpsychiatry.blogspot.com/2015/05/the-genesight-test-wing-prayer-and-13.htmlnoreply@blogger.com (Daniel Carlat, M.D.)3tag:blogger.com,1999:blog-1562387750337311798.post-4058816555868766023Thu, 30 Apr 2015 13:30:00 +00002015-04-30T11:22:15.201-04:00How Drugs Collide: What Every Psychiatric Prescriber Should KnowPlease file this blog post under "Shameless Self-Promotion."
I just published a new edition of my book, Drug Metabolism in Psychiatry: A Clinical Guide. You can buy it here, and you can read a free preview of the first two chapters here.
It's mostly a book for psychiatrists and psychiatric nurse practitioners. It's pretty short at 145 pages, but it's very concise and in my opinion fun to read.
http://carlatpsychiatry.blogspot.com/2015/04/how-drugs-collide-what-every.htmlnoreply@blogger.com (Daniel Carlat, M.D.)0tag:blogger.com,1999:blog-1562387750337311798.post-4313766153821418118Thu, 16 Apr 2015 19:17:00 +00002015-04-16T16:14:01.636-04:00ADHDdepressionEEGmajor depressive disorderMDDScoreNEBAHow a New Blood Test for Depression is like Apple Recognition
Four years ago I wrote a blog post about the MDDScore blood test for depression. That was before there were any peer-reviewed publications describing it. Now there are at least two. The latest came out a couple of months ago in the Journal of Clinical Psychiatry, and you can access the article, along with two interesting commentaries, for free.
While I won't go into the article in any detail, http://carlatpsychiatry.blogspot.com/2015/04/how-new-blood-test-for-depression-is.htmlnoreply@blogger.com (Daniel Carlat, M.D.)6tag:blogger.com,1999:blog-1562387750337311798.post-6796121325979197023Wed, 15 Apr 2015 16:15:00 +00002015-04-15T16:50:25.856-04:00ACCMEBrintellixindustry-funded CMEMedscapeStandards for Commercial SupportvortioxetineMedscape Presents: The Brintellix Show
As I wrote in part one of my Medscape review, the website gets high marks for up-to-the-minute coverage of psychiatric
news, and it deserves kudos for posting a ton of textbook-like content on
disorders and drugs. I wasn’t so thrilled with its "un-privacy" policy, which
results in your personal info and browsing history being sold to third parties.
Today we get into the dark side of http://carlatpsychiatry.blogspot.com/2015/04/medscape-presents-brintellix-show.htmlnoreply@blogger.com (Daniel Carlat, M.D.)0tag:blogger.com,1999:blog-1562387750337311798.post-5179064314636067363Wed, 08 Apr 2015 13:49:00 +00002015-04-08T09:49:33.619-04:00MedscapePsychiatry websitesReviews of websitesWebsite reviewsMedscape Psychiatry Review, Part One: The Good...Medscape is the number one website for American physicians--a 2010 survey found that 57% of doctors read the site. I'll wager that proportion is higher in 2015.
I have not always been Medscape's number one fan. I've called the site out for pushing Cymbalta in a Lilly-funded "Pain TV" program and for touting Invega in a CME-accredited infomercial that was so blatant that Business Week ran a storyhttp://carlatpsychiatry.blogspot.com/2015/04/medscape-psychiatry-review-part-one-good.htmlnoreply@blogger.com (Daniel Carlat, M.D.)0tag:blogger.com,1999:blog-1562387750337311798.post-4060595225946168716Wed, 01 Apr 2015 18:12:00 +00002015-04-08T17:06:07.860-04:00Psychiatry websitesRajnish MagoReviews of websitesSimple and Practical Mental HealthWebsite reviewsPsychiatry Website Review: Rajnish Mago's "Simple and Practical Mental Health"
Lately I've been browsing for good psychiatry websites to harvest ideas for an upcoming redesign of The Carlat Psychiatry Report. Everything's fair game in my search, whether industry-funded or not. I'm not going to try to pretend that industry funding inevitably leads to tainted information. Clearly, sometimes it does, but sometimes it doesn't.
I've been finding a lot of quality information http://carlatpsychiatry.blogspot.com/2015/04/psychiatry-website-review-rajnish-magos.htmlnoreply@blogger.com (Daniel Carlat, M.D.)0tag:blogger.com,1999:blog-1562387750337311798.post-2939282654577884147Tue, 24 Mar 2015 21:10:00 +00002015-03-25T10:57:03.455-04:0012-step programsAAAlcoholics AnonymousAtlantic MagazineCATRThe Carlat Addiction Treatment ReportThe Atlantic Slams Alcoholics Anonymous--The Carlat Take
The current issue of The Atlantic magazine has a fascinating article entitled "The Irrationality of Alcoholics Anonymous." In a wide-ranging and well-researched article, the author Gabrielle Glaser, begins with the story of a lawyer identified as "J.G."
"J.G." began drinking at age 15 and his habit ramped up through college and law school. Ironically, much of J.G.'s law practice is defending http://carlatpsychiatry.blogspot.com/2015/03/the-atlantic-slams-alcoholics-anonymous.htmlnoreply@blogger.com (Daniel Carlat, M.D.)0tag:blogger.com,1999:blog-1562387750337311798.post-2428289966911129769Sat, 21 Mar 2015 14:55:00 +00002015-03-21T10:55:53.800-04:00On Combining Antipsychotics, Top-Performing Therapists, and Procrastination
I woke up this morning and realized that I've allowed myself to become a victim of BPS--Blog Procrastination Syndrome. It happens to the best of us. We write a post, and days and weeks and months go by. "My next post has to be really, really good," we think.
Forget that. I'm just going to dive back in beginning today. "Done is better than perfect," someone once told me.
At The Carlat http://carlatpsychiatry.blogspot.com/2015/03/on-combining-antipsychotics-top.htmlnoreply@blogger.com (Daniel Carlat, M.D.)2tag:blogger.com,1999:blog-1562387750337311798.post-7448813925905946958Thu, 06 Nov 2014 21:57:00 +00002014-11-06T16:57:52.278-05:00Exploring the link between industry payments to doctors and prescribing habits
This article was originally published in The BMJ on November 5, 2014.
Orthopedic surgeons receive the biggest payments from industry in the US
according to the Open Payments database. The next step, writes
transparency pioneer Danny Carlat, is for researchers to compare payment data with disclosures of physicians’ prescribing patterns
After substantial delays, the Open Payments http://carlatpsychiatry.blogspot.com/2014/11/exploring-link-between-industry.htmlnoreply@blogger.com (Michelle Chabot)0tag:blogger.com,1999:blog-1562387750337311798.post-2082044642658529987Wed, 08 Oct 2014 17:04:00 +00002014-10-08T13:15:50.307-04:00Payments to Doctors: The Bottom Line
There's a scene in Ghostbusters in which the characters are discussing gun safety.
"Don't cross the streams."
"Why?"
"It would be bad."
"I'm fuzzy on the whole good/bad thing. What do you mean, 'bad'?"
"Try to imagine all life as you know it stopping instantaneously and every molecule in your body exploding at the speed of light. Total protonic reversal."
"Right. That's bad. Okayhttp://carlatpsychiatry.blogspot.com/2014/10/payments-to-doctors-bottom-line.htmlnoreply@blogger.com (Daniel Carlat, M.D.)0tag:blogger.com,1999:blog-1562387750337311798.post-5579506908880430655Wed, 01 Oct 2014 19:23:00 +00002014-10-03T09:54:08.801-04:00Charles OrnsteinOpen PaymentsPewPhysician Payments Sunshine ActProPublicaI'm Back! Now Let's Talk Sunshine.
Hi readers. Yesterday was my last day at The Pew Charitable Trusts--timed to coincide with the launch of the Open Payments website.
Before commenting on the website, here are some quick impressions about my last 2 1/2 years in Washington: fascinating, sometimes frustrating, often exhilerating, and overall just a great introduction to the arena of politics. Pew is amazing--work there if you http://carlatpsychiatry.blogspot.com/2014/10/im-back-now-lets-talk-sunshine.htmlnoreply@blogger.com (Daniel Carlat, M.D.)2tag:blogger.com,1999:blog-1562387750337311798.post-2211289110028901687Mon, 19 Mar 2012 09:55:00 +00002012-03-21T15:26:43.443-04:00Dr. Carlat Goes to Washington To Head Pew Prescription ProjectThis will be my last Carlat Psychiatry Blog post for a while, as I have recently accepted a new job as the director of the Pew Prescription Project in Washington DC. My main job there will be to pull together a group of experts to review conflict of interest recommendations, and to work with various partner organizations (AMSA, Community Catalyst, and the National Physician's Alliance) to http://carlatpsychiatry.blogspot.com/2012/03/dr-carlat-goes-to-washington-to-head.htmlnoreply@blogger.com (Daniel Carlat, M.D.)15tag:blogger.com,1999:blog-1562387750337311798.post-5464107527573758085Fri, 06 Jan 2012 19:15:00 +00002012-01-06T14:15:19.904-05:00BMJBMJ's Ten Commandments for the Ideal PhysicianThe British Medical Journal's great blogger Richard Lehman has published the following Ten Commandments for excellent clinical practice. These are great rules of thumb for any savvy health care practitioner--but they do require that wee bit of extra work to truly understand the statistics behind the medical literature. (Hat tip to Steve Balt, MD, for sending me the link).
The New Therapeutics: http://carlatpsychiatry.blogspot.com/2012/01/bmjs-ten-commandments-for-ideal.htmlnoreply@blogger.com (Daniel Carlat, M.D.)6tag:blogger.com,1999:blog-1562387750337311798.post-4875403343991109014Thu, 05 Jan 2012 14:18:00 +00002012-01-07T15:39:20.906-05:00Colbertindustry-funded CMEsuper PACsOn Stephen Colbert, Super PACs, and Industry-Supported CME
The current New York Times Magazine carries a fascinating and quite hilarious profile of Stephen Colbert, of the Colbert Report. Colbert is well known for his parody of a know-nothing rabidly conservative Republican commentator—but according to the article he has taken his comedy into the real world, involving himself directly in those shady instruments of electioneering known as “super PACs.”
http://carlatpsychiatry.blogspot.com/2012/01/on-stephen-colbert-super-pacs-and.htmlnoreply@blogger.com (Daniel Carlat, M.D.)7tag:blogger.com,1999:blog-1562387750337311798.post-4706297783861668265Wed, 04 Jan 2012 19:10:00 +00002012-01-05T09:20:55.303-05:00APADSM-VAPA Threatens to Sue "dsm5watch" WebsiteI just read Bernard Carroll's interesting post on the Health Care Renewal Blog about the latest DSM-5 brouhaha. It appears that the American Psychiatric Association has sent a "cease and desist" letter to a website critical of the DSM-5. The site was called "dsm5watch," but the APA argues that using DSM-5 in the blog title is an infringement of their trademark. The owner of the blog, Suzy Chapmanhttp://carlatpsychiatry.blogspot.com/2012/01/apa-threatens-to-sue-dsm5watch-website.htmlnoreply@blogger.com (Daniel Carlat, M.D.)10tag:blogger.com,1999:blog-1562387750337311798.post-4975513622081272609Thu, 22 Dec 2011 16:54:00 +00002012-01-07T15:40:56.447-05:00Physician paymentsPhysician Payments Sunshine ActThe Gig is Up: The Sunshine Act Will Include CME Payments to DoctorsThose of us who have followed the progress of the implementation of the Physician Payment Sunshine Act have been acutely aware of one potential loophole: drug companies might try to hide payments to doctors for industry-supported CME activities. That’s because these payments are not "direct" payments to doctors, but rather indirect payments.
In a 2007 op/ed piece for the New York Times, I http://carlatpsychiatry.blogspot.com/2011/12/gig-is-up-sunshine-act-will-include-cme.htmlnoreply@blogger.com (Daniel Carlat, M.D.)3tag:blogger.com,1999:blog-1562387750337311798.post-6767280952600034654Mon, 12 Dec 2011 21:35:00 +00002011-12-12T16:35:18.201-05:00Health AffairsConflict of Interest--From a Patient's PerspectiveThis month's issue of Health Affairs carries this fascinating article (free full text) written by a woman with MS who found out her neurologist made $300,000 in speaking and promotional activities in 3 years.
The writer, Maran Wolston, also happens to be a professor of medical ethics, so she renders her personal story in a particularly thoughtful way. When she first met her neurologist 5 years http://carlatpsychiatry.blogspot.com/2011/12/conflict-of-interest-from-patients.htmlnoreply@blogger.com (Daniel Carlat, M.D.)9tag:blogger.com,1999:blog-1562387750337311798.post-665502192828893876Mon, 14 Nov 2011 15:15:00 +00002011-11-14T10:15:22.959-05:00CymbaltaEli LillyMedscapePain TVEli Lilly's "Pain TV": Are they serious?Sometimes in the CME field you come across something that seems so embarrassing for everybody involved that you just have to shake your head and wonder what they were thinking. So here is the link to Medscape's ACCME Accredited Category 1 CME activity called "Pain TV", supported by an "unrestricted educational grant" from Eli Lilly, manufacturer of Cymbalta, which recently won the FDA indication http://carlatpsychiatry.blogspot.com/2011/11/eli-lillys-pain-tv-are-they-serious.htmlnoreply@blogger.com (Daniel Carlat, M.D.)8tag:blogger.com,1999:blog-1562387750337311798.post-5479003649937116847Wed, 26 Oct 2011 10:14:00 +00002011-10-27T14:43:12.451-04:00FDAJournal of Clinical PsychiatryViibrydvilazodoneFDA Slams Viibryd: Better Sexual Profile Claim “Not Supported by the Data”The September 2011 issue of the Journal of Clinical Psychiatry created history in two ways.
First, the journal published this article written by FDA staff critically reviewing the efficacy and safety data of Viibryd, a new antidepressant that the same FDA staff had just approved.
Second, it was not just any journal that published the article, but the Journal of Clinical Psychiatry. Why is http://carlatpsychiatry.blogspot.com/2011/10/fda-slams-viibryd-better-sexual-profile.htmlnoreply@blogger.com (Daniel Carlat, M.D.)3tag:blogger.com,1999:blog-1562387750337311798.post-6141565061594142702Tue, 11 Oct 2011 18:01:00 +00002011-10-11T14:01:22.048-04:00Alzheimer's diseaseBiomarkersNew Study: Biomarkers are Cool, but Nearly Useless for Predicting Alzheimer'sEverybody would like to find a brain scan or a blood or spinal fluid test to predict Alzheimer's disease. Such objective tests seem inherently more reliable than the clinical interview.
Recently we've seen various studies identifying biomarkers for predicting who will develop Alzheimer's. The problem is that most of the studies are merely suggestive, though they are so complex that they create ahttp://carlatpsychiatry.blogspot.com/2011/10/new-study-biomarkers-are-cool-but.htmlnoreply@blogger.com (Daniel Carlat, M.D.)5tag:blogger.com,1999:blog-1562387750337311798.post-3385123202714001482Fri, 09 Sep 2011 18:09:00 +00002011-09-09T14:09:46.110-04:00Carlat CME InstituteCME Rogue's GalleryNew Feature: CME Rogue's GalleryWe've been beefing up the Carlat CME Institute, a website whose mission is to support excellence in non-industry-funded CME. Our latest feature is the "CME Rogue's Gallery" in which we keep a running list of the most blatantly promotional CME programs that cross our path. Currently we are spotlighting a program funded by Mylan Pharmaceuticals to increase prescription of the MAOI EMSAM, and a http://carlatpsychiatry.blogspot.com/2011/09/new-feature-cme-rogues-gallery.htmlnoreply@blogger.com (Daniel Carlat, M.D.)2tag:blogger.com,1999:blog-1562387750337311798.post-8628968169592667293Wed, 31 Aug 2011 16:01:00 +00002011-08-31T12:01:39.206-04:00Dr. Stahl's Medical Writer Fights Back<!--[if gte mso 9]> Normal 0 false false false EN-US ZH-TW X-NONE <![endif]--><!--[if gte mso 9]>http://carlatpsychiatry.blogspot.com/2011/08/dr-stahls-medical-writer-fights-back.htmlnoreply@blogger.com (Daniel Carlat, M.D.)23tag:blogger.com,1999:blog-1562387750337311798.post-6794548040286250802Sat, 27 Aug 2011 21:11:00 +00002011-08-27T17:59:51.194-04:00Stephen StahlHas Stephen Stahl Gone Off the Deep End? You Decide.A reader of my blog alerted me to this rambling blog post by Stephen Stahl on his NEI blog. I've pasted his article and my response below--or you can read the whole thing on his site. I’ll be curious to hear your thoughts.
Here is Dr. Stahl’s post, dated August 23 2011:
"Are future psychiatric treatments doomed? Be careful what you ask for...you just might get it."
Nobody likes drug companies http://carlatpsychiatry.blogspot.com/2011/08/has-stephen-stahl-gone-off-deep-end-you.htmlnoreply@blogger.com (Daniel Carlat, M.D.)39